2025-05-13T13:32:19-05:00 2024-06-30 990 2023-07-01 751037226 Baylor Institute for Rehabilitation at Gaston Episcopal Hospital BAYL 2148204135 301 N Washington Avenue Dallas TX 75246 Jennifer Mitzner CFO 2148204135 2025-05-12 0 2023 2025-03-06 01:10:19Z X Baylor Scott & White Institute for Rehabilitation Steven R Newton 301 N Washington Avenue Dallas TX 75246 19311232 0 X www.bswhealth.com X 1939 TX Faith based specialty hospital providing exemplary, comprehensive physical medicine and rehabilitation services and medical research to the residents of Dallas County and the surrounding communities. X 10 8 0 8 0 0 0 0 18418127 19308844 988 2388 0 0 18419115 19311232 0 0 0 0 0 0 0 0 0 544 7043 544 7043 18418571 19304189 85697902 0 24515306 0 61182596 0 X Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. 0 0 7043 0 19308844 See Schedule OBaylor Institute for Rehabilitation at Gaston Episcopal Hospital (BIR) operates, through a partnership with Select Medical Corporation, four faith-based specialty hospitals including 127 outpatient therapy and specialty clinics which provides exemplary comprehensive physical medicine and rehabilitation services to the residents of Dallas, Fort Worth, and Austin, Texas and the surrounding communities. These hospitals include Baylor Scott & White Institute for Rehabilitation - Dallas, Baylor Scott & White Institute for Rehabilitation - Frisco, Baylor Scott & White Institute for Rehabilitation - Fort Worth and Baylor Scott & White Institute for Rehabilitation - Lakeway. BIR is affiliated with Baylor Scott & White Health (BSWH), a faith-based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the residents of North and Central Texas. As the largest not-for-profit health care system in Texas and one of the largest in the United States, BSWH was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare. Today, BSWH has over 1,300 patient access points including 52 hospitals, 632 specialty care clinics, 260 outpatient clinics, 164 primary care clinics, 29 pharmacies, 30 ambulatory surgery centers, 62 urgent care clinics, and more than 7,200 active physicians. The system also includes a state certified health maintenance organization, the Scott and White Health Plan and the Baylor Scott & White Quality Alliance accountable care organization both covering over 1,200,000 lives. During the fiscal year, BIR had 98,971 outpatient registrations and admitted 3,996 patients resulting in 65,468 days of care. As part of its charitable mission, BIR is committed to providing free and/or subsidized care to both financially and medically indigent patients of the community. BIR provided community benefits (as reported on the IRS Form 990, Schedule H) of $4,544,998 during the tax year.Baylor Scott & White Institute for Rehabilitation - Dallas (BSW Rehab Dallas) is located on the Baylor University Medical Center at Dallas main campus just outside of downtown Dallas. BSW Rehab Dallas is BIR's flagship rehabilitation facility. As one of only 16 centers in the nation designated as a Model System for Traumatic Brain Injury, BSW Rehab Dallas has the advanced capabilities necessary to treat some of the most complex rehabilitation cases, including low level brain injuries, high quadriplegics and traumatically injured individuals. The 92-bed inpatient facility offers 24-hour respiratory care services and specialized programs for traumatic brain injury and spinal cord injury. Our goal is to restore each patient's independence, self-confidence and vision of the future after a traumatic brain injury, spinal cord injury, stroke or other orthopedic or neurological disorder. Each patient's care plan is custom-designed by a physiatrist-led interdisciplinary team of licensed physical therapists, occupational therapists, speech-language pathologists, certified recreation therapists, neuropsychologists, rehabilitation registered nurses, nutritionists, social workers and other specialized clinicians. BSW Rehab Dallas also participates in community health programs and outreach programs targeted for the underserved. For example, a special day camp with adaptive water sports is provided for area residents with spinal cord injuries. Injury prevention programs are also provided to schools, churches, and community centers. BIR also provided supervisory education programs for the training of future nurses and other allied health professionals in an effort to increase the supply of health care professionals nation-wide. Assisting with the preparation of future nurses and other allied health professionals at entry and advanced levels of care education is critical in establishing a workforce of qualified health care providers. Baylor Scott & White Institute for Rehabilitation - Frisco (BSW Rehab Frisco) is an inpatient rehabilitation hospital Located in the heart of the booming suburbs north of Dallas. BSW Rehab Frisco is known for its quality care and patient outcomes. The dedicated staff at this hospital provides rehabilitation care to patients recovering from stroke, brain injuries, orthopedic and other debilitating conditions. Here at our 44-bed center, you will benefit from the experience and expertise of a team of rehabilitation professionals who share one goal: to help you recover the skills, strengths and function to optimize your recovery. Baylor Scott & White Institute for Rehabilitation - Fort Worth (BSW Rehab Fort Worth) is a 42-bed inpatient rehabilitation hospital located in the southwest medical district in Fort Worth dedicated to the care and treatment of persons with brain injury, stroke, spinal cord injury, amputation, neurological disorders, orthopedic conditions and general rehabilitation needs. Our patients benefit from the experience and expertise of a team of rehabilitation professionals who share one goal: to help each individual recover the skills, strengths and function to optimize his or her recovery. BSW Rehab Fort Worth offers comprehensive care and advanced treatment and technologies to best address our patient's complex medical, physical, emotional and vocational challenges, along with the training and education that help them and their families' transition to life ahead.Baylor Scott & White Institute for Rehabilitation - Lakeway (BSW Rehab Lakeway) is located just outside of Austin in the rolling landscape of the Texas hill country. Baylor Scott & White Institute for Rehabilitation - Lakeway is a 36-bed inpatient rehabilitation hospital that provides a safe, cheerful environment where patients benefit from our compassionate and professional round-the-clock care. While the name may be new - the dedicated medical and support staff remain the same. Our licensed therapists and nurses are committed to helping patients regain skills lost through injury or illness and can easily accommodate the individualized therapy and nursing needs of every patient. See Schedule H for more information regarding these services and how BIR promotes the health of the communities. 7043 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X Angie Hutson 2148201432 301 N Washington Avenue Dallas TX 75246 Amy Wilson MD Trustee 1.00 40.00 X 0 554000 45189 Paul Madeley MD Trustee 1.00 40.00 X 0 511694 41779 Harry Neil Dugger Trustee/Chair 1.00 0.00 X X 0 0 0 Vince Hawkins Trustee 1.00 0.00 X 0 0 0 Wendy Hermes JD Trustee 1.00 0.00 X 0 0 0 Marissa Hernandez Trustee/Vice Chair 1.00 0.00 X X 0 0 0 Lisa Hultz Trustee 1.00 0.00 X 0 0 0 J Kent Newsom Trustee 1.00 0.00 X 0 0 0 Rodrick Robinson Trustee 1.00 0.00 X 0 0 0 Jeffrey Schmeltekopf Trustee 1.00 0.00 X 0 0 0 Steven Newton President/CEO 1.00 40.00 X 0 3595037 631482 Jennifer Mitzner CFO 1.00 40.00 X 0 2830215 1206919 Grant Teegarden Secretary 1.00 40.00 X 0 534329 81438 0 8025275 2006807 0 0 1 0 0 Patient Care 622310 19308844 19308844 19308844 2388 2388 19311232 19308844 0 2388 X 6975 6975 68 68 7043 7043 0 0 0 107820 0 0 5661 0 0 0 0 0 0 0 0 0 85584421 0 0 0 85697902 0 24515306 0 24515306 0 X 61182596 0 61182596 0 85697902 0 X 19304189 -80486785 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 6158 6158 0 Part II-B, Line 1: Statement Regarding Legislative Activity: Given the increasing complexity of legislative and regulatory initiatives impacting health care systems, the Organization has prioritized the need to communicate with local, state and federal officials on the impact of various health policies on the delivery of cost-efficient, high-quality health care. The Organization has established relationships with representatives and industry associations that assist in communicating its positions on major health care issues. This communication may include direct contact, telephone conversations, letters and other written communication, and/or other briefings. The amount of resources (time and money) involved in these activities is insubstantial. The Organization has not participated and/or intervened in any political campaign in accordance with federal law. 0 X Part X, Line 2: The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes." As of June 30, 2024 and 2023, the System had no material gross unrecognized tax benefits. 1 1 X 1 X 1 X 500.000000000000 1 1 0 0 2077825 0 2077825 0.01250 4464884 3975216 489668 0.00300 0 0 0.00000 6542709 3975216 2567493 0.01550 0 0 0.00000 0 0 0.00000 0 0 0.00000 0 0 0.00000 1977505 0 1977505 0.01190 1977505 1977505 0.01190 8520214 3975216 4544998 0.02740 1 6684097 0 23363240 21826145 1537095 X 1 1 4 1 Baylor S&W Inst for Rehab-Dallas 909 N Washington Dallas TX 75246 www.bswhealth.com 100092 X Rehabilitation Hospital 2 Baylor S&W Inst for Rehab-Frisco 2990 Legacy Drive Frisco TX 75034 www.bswhealth.com 100093 X Rehabilitation Hospital 3 Baylor S&W Inst for Rehab-Lakeway 2000 Medical Drive Lakeway TX 78734 www.bswhealth.com 008738 X Rehabilitation Hospital 4 Baylor S&W Inst for Rehab-Ft Worth 6601 Harris Parkway Fort Worth TX 76132 www.bswhealth.com 100438 X Rehabilitation Hospital Baylor S&W Inst for Rehab-Dallas 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X www.BSWHealth.com/CommunityNeeds X 1 21 1 www.BSWHealth.com/CommunityNeeds 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X X X X X X X 1 X 0 X X X X 1 X 0 0 Baylor S&W Inst for Rehab-Frisco 2 0 0 1 X X X X X X X X X 21 1 1 0 1 X www.BSWHealth.com/CommunityNeeds X 1 21 1 www.BSWHealth.com/CommunityNeeds 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X X X X X X X 1 X 0 X X X X 1 X 0 0 Baylor S&W Institute for Rehab-Lakeway 3 0 0 1 X X X X X X X X X 21 1 1 0 1 X www.BSWHealth.com/CommunityNeeds X 1 21 1 www.BSWHealth.com/CommunityNeeds 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X X X X X X X 1 X 0 X X X X 1 X 0 0 Baylor S&W Institute for Rehab-Ft Worth 4 0 0 1 X X X X X X X X X 21 1 1 0 1 X www.BSWHealth.com/CommunityNeeds X 1 21 1 www.BSWHealth.com/CommunityNeeds 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X X X X X X X 1 X 0 X X X X 1 X 0 0 Baylor S&W Inst for Rehab-Dallas Part V, Section B, Line 5: To obtain a qualitative assessment of the health community, the organization:- Assembled a focus group representing the broad interests of the community served;- Conducted interviews and surveys with key informants / leaders and representatives who serve the community and have insight into its needs; and- Held prioritization sessions with hospital clinical leadership and community leaders to review collection results and identify the most significant healthcare needs based on information gleaned from the focus groups and key informants.Focus groups helped identify barriers and social factors influencing the community's health needs. Key informant interviews gave the team even more understanding and insight about the general health status of the community and the various drivers that contributed to health issues.Multiple governmental public health department individuals were asked to contribute their knowledge, information and expertise relevant to the health needs of the community. Individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community also took part in the process. NOTE: In some cases, public health officials were unavailable due to obligations concerning the COVID-19 pandemic.On January 18, 2022, a session was conducted with key leadership members from Baylor Scott & White along with community leaders to review the qualitative and quantitative data findings of the CHNA to date, discuss at length the significant needs identified, and complete prioritization exercises to rank the community needs. Prioritizing health needs was a twostep process. The two-step process allowed participants to consider the quantitative needs and qualitative needs as defined by the indicator dataset and focus group/interview/survey participant input.In the first step, participants reviewed the top health needs for their community using associated data-driven criteria. The criteria included health indicator value(s) for the community and how the indicator compared to the state benchmark.Participants held a group discussion about which needs were most significant, using the professional experience and community knowledge of the group. A virtual voting method was invoked for individuals to provide independent opinions.This process helped the group define and identify the community's significant health needs. Participants voted individually for the needs they considered the most significant for this community. When the votes were tallied, the top identified needs emerged and were ranked based on the number of votes.The following is a list of groups consulted: American Heart Association, Baylor Scott & White Health, Baylor Scott & White Heart & Vascular Hospital, Baylor University Medical Center, Bethesda Health Clinic, Bridge Breast Network, Brighter Tomorrows, Brittain Kalish Group Project Access, Baylor Scott & White McKinney, Baylor Scott & White Plano, Collin County RHP 18, Church of Jesus Christ of LDS, Collin College Homeless Coalition, Collin County Coalition Charitable Clinic, Collin County Health Care Services, Collin County Health Department, Collin County Public Health, Community Lifeline Center, Community Services, Inc., County of Navarro, Crossroads, Dallas Area Interfaith, Dallas Area Rape Crisis Center (DARCC), Dallas Area Rapid Transit (DART), Daniel's Den, Eligibility Consultants Inc., Emergency Management Midlothian Police Department, Empowering the Masses, Family Promise of Living, First United Methodist, First United Methodist Richardson, For Oak Cliff, Fort Worth Housing Solutions, Frazier Revitalization, Golden SEEDS, Goodwill Dallas, Health Services of North Texas, Hope Clinic, Julia's Center, Mansfield Independent School District (MISD), Meals on Wheels, Meals on Wheels North Central Texas, MedStar, Methodist Dallas Medical Center, Methodist Health System, Methodist Health System Golden Cross Academic Clinic, Methodist Mansfield Advisory Board, Metrocare Services, My Possibilities, North Central Texas Health Care Center Comm., North Texas Food Bank, One Safe Place, Plano Fire-Rescue, Presbyterian Children's Homes & Services (PCHAS), Project Access Tarrant County, REACH Council, Sharing Life, South Dallas Fair Park Faith Coalition, Southern Methodist University, St. Joseph Church, State Fair of Texas, Tarrant Area Food Bank, Tarrant County Public Health, Texas Health Resources, The Bridge Homeless Recovery Center, The Concilio, The Stewpot, United Way, United Way Hunt County, United Way of Metropolitan Dallas (UWMD), United Way of Tarrant County, Visiting Nurse Association (VNA), Visiting Nurse Association of Texas Dallas/Fort Worth, Waxahachie Care Services, Waxahachie Independent School, District, Wellness Center for Older Adults, YMCA Dallas. Baylor S&W Inst for Rehab-Frisco Part V, Section B, Line 5: To obtain a qualitative assessment of the health community, the organization:- Assembled a focus group representing the broad interests of the community served;- Conducted interviews and surveys with key informants / leaders and representatives who serve the community and have insight into its needs; and- Held prioritization sessions with hospital clinical leadership and community leaders to review collection results and identify the most significant healthcare needs based on information gleaned from the focus groups and key informants.Focus groups helped identify barriers and social factors influencing the community's health needs. Key informant interviews gave the team even more understanding and insight about the general health status of the community and the various drivers that contributed to health issues.Multiple governmental public health department individuals were asked to contribute their knowledge, information and expertise relevant to the health needs of the community. Individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community also took part in the process. NOTE: In some cases, public health officials were unavailable due to obligations concerning the COVID-19 pandemic.On December 15, 2021, a session was conducted with key leadership members from Baylor Scott & White along with community leaders to review the qualitative and quantitative data findings of the CHNA to date, discuss at length the significant needs identified, and complete prioritization exercises to rank the community needs. Prioritizing health needs was a twostep process. The two-step process allowed participants to consider the quantitative needs and qualitative needs as defined by the indicator dataset and focus group/interview/survey participant input.In the first step, participants reviewed the top health needs for their community using associated data-driven criteria. The criteria included health indicator value(s) for the community and how the indicator compared to the state benchmark.Participants held a group discussion about which needs were most significant, using the professional experience and community knowledge of the group. A virtual voting method was invoked for individuals to provide independent opinions.This process helped the group define and identify the community's significant health needs. Participants voted individually for the needs they considered the most significant for this community. When the votes were tallied, the top identified needs emerged and were ranked based on the number of votes.The following is a list of groups consulted: Baylor Scott & White Health, Baylor Scott & White The Heart Hospital Denton, Baylor Scott & White Medical Center McKinney, Baylor Scott & White Medical Center Plano, Collin County RHP 18, Callier Center for Communication Disorders, Church of Jesus Christ of LDS, City of Denton, Collin County Coalition Charitable Clinics, Collin County Health Care Services, Collin County Health Department, Collin County Public Health, Collin College Homeless Coalition, Community Lifeline Center, Community Services, Inc., Denton County MHMR Center, First Refuge Ministries, First United Methodist Richardson, Health Services of North Texas, Julia's Center, Metroport Meals on Wheels, My Possibilities, North Central Texas Health Care Center Comm., North Texas Food Bank, Plano Fire-Rescue, Texas Health Resources, United Way, Visiting Nurse Association of Texas - Dallas/Fort Worth, Wellness Center for Older Adults. Baylor S&W Institute for Rehab-Lakeway Part V, Section B, Line 5: To obtain a qualitative assessment of the health community, the organization:- Assembled a focus group representing the broad interests of the community served;- Conducted interviews and surveys with key informants / leaders and representatives who serve the community and have insight into its needs; and- Held prioritization sessions with hospital clinical leadership and community leaders to review collection results and identify the most significant healthcare needs based on information gleaned from the focus groups and key informants.Focus groups helped identify barriers and social factors influencing the community's health needs. Key informant interviews gave the team even more understanding and insight about the general health status of the community and the various drivers that contributed to health issues.Multiple governmental public health department individuals were asked to contribute their knowledge, information and expertise relevant to the health needs of the community. Individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community also took part in the process. NOTE: In some cases, public health officials were unavailable due to obligations concerning the COVID-19 pandemic.On January 11, 2022, a session was conducted with key leadership members from Baylor Scott & White along with community leaders to review the qualitative and quantitative data findings of the CHNA to date, discuss at length the significant needs identified, and complete prioritization exercises to rank the community needs. Prioritizing health needs was a twostep process. The two-step process allowed participants to consider the quantitative needs and qualitative needs as defined by the indicator dataset and focus group/interview/survey participant input.In the first step, participants reviewed the top health needs for their community using associated data-driven criteria. The criteria included health indicator value(s) for the community and how the indicator compared to the state benchmark.Participants held a group discussion about which needs were most significant, using the professional experience and community knowledge of the group. A virtual voting method was invoked for individuals to provide independent opinions.This process helped the group define and identify the community's significant health needs. Participants voted individually for the needs they considered the most significant for this community. When the votes were tallied, the top identified needs emerged and were ranked based on the number of votes.The following is a list of groups consulted: Affordable Central Texas, AGE of Central Texas, Austin Clubhouse, Baylor Scott & White Health, Boys & Girls Clubs of the Austin Area, Catholic Charities, Central Health, Central Texas Food Bank, City of Manor, City of Pflugerville, City of Taylor, Community Care Board Member, Faith in Action Georgetown, Georgetown Health Foundation, Integral Care, Interagency Support Council of Eastern, Williamson County, Inc., Lone Star Circle of Care, Milam County Health Department, Mobile Outreach Team Williamson County, Emergency Services, Partners in Hope, Pavilion Clubhouse of Williamson County, People's Community Clinic Austin, Regarding Cancer, The Caring Place, United Way of Williamson County, Williamson County and Cities Health District. Baylor S&W Institute for Rehab-Ft Worth Part V, Section B, Line 5: To obtain a qualitative assessment of the health community, the organization:- Assembled a focus group representing the broad interests of the community served;- Conducted interviews and surveys with key informants / leaders and representatives who serve the community and have insight into its needs; and- Held prioritization sessions with hospital clinical leadership and community leaders to review collection results and identify the most significant healthcare needs based on information gleaned from the focus groups and key informants.Focus groups helped identify barriers and social factors influencing the community's health needs. Key informant interviews gave the team even more understanding and insight about the general health status of the community and the various drivers that contributed to health issues.Multiple governmental public health department individuals were asked to contribute their knowledge, information and expertise relevant to the health needs of the community. Individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community also took part in the process. NOTE: In some cases, public health officials were unavailable due to obligations concerning the COVID-19 pandemic.On January 24, 2022, a session was conducted with key leadership members from Baylor Scott & White along with community leaders to review the qualitative and quantitative data findings of the CHNA to date, discuss at length the significant needs identified, and complete prioritization exercises to rank the community needs. Prioritizing health needs was a twostep process. The two-step process allowed participants to consider the quantitative needs and qualitative needs as defined by the indicator dataset and focus group/interview/survey participant input.In the first step, participants reviewed the top health needs for their community using associated data-driven criteria. The criteria included health indicator value(s) for the community and how the indicator compared to the state benchmark.Participants held a group discussion about which needs were most significant, using the professional experience and community knowledge of the group. A virtual voting method was invoked for individuals to provide independent opinions.This process helped the group define and identify the community's significant health needs. Participants voted individually for the needs they considered the most significant for this community. When the votes were tallied, the top identified needs emerged and were ranked based on the number of votes.The following is a list of groups consulted: Brittain Kalish Group Project Access, Baylor Scott & White Health, Callier Center for Communication Disorders, Fort Worth Housing Solutions, Granbury Chamber of Commerce, Mansfield Mission Center Linda Nix Clinic, Meals on Wheels North Central Texas, MedStar, Methodist Mansfield Advisory board, One Safe Place, Project Access Tarrant County, Tarrant Area Food Bank, Tarrant County Public Health, United Way of Tarrant County, Visiting Nurse Association of Texas Dallas/Fort Worth. Baylor S&W Inst for Rehab-Dallas Part V, Section B, Line 6a: Baylor University Medical Center, Baylor Scott & White Heart and Vascular Hospital-Dallas, Baylor Scott & White Medical Center-Uptown, North Central Surgical Center, and Baylor Scott & White Medical Center-Sunnyvale. Baylor S&W Inst for Rehab-Dallas:Part V, Section B, Line 9: The hospital adopted its most recent Implementation Strategy before November 15, 2022, the 15th day of the fifth month after the 2021 tax year as described in IRS Regulation Section 1.501(r)-3(c)(5). Baylor S&W Inst for Rehab-Frisco Part V, Section B, Line 6a: Baylor Scott & White Medical Center-CentennialBaylor S&W Inst for Rehab-Frisco:Part V, Section B, Line 9: The hospital adopted its most recent Implementation Strategy before November 15, 2022, the 15th day of the fifth month after the 2021 tax year as described in IRS Regulation Section 1.501(r)-3(c)(5). Baylor S&W Institute for Rehab-Lakeway Part V, Section B, Line 6a: Baylor Scott & White Medical Center -Austin, Baylor Scott & White Medical Center -Buda, Baylor Scott & White Medical Center -Pflugerville, Baylor Scott & White Medical Center -Round Rock and Baylor Scott & White Medical Center -Taylor.Baylor S&W Institute for Rehab-Lakeway:Part V, Section B, Line 9: The hospital adopted its most recent Implementation Strategy before November 15, 2022, the 15th day of the fifth month after the 2021 tax year as described in IRS Regulation Section 1.501(r)-3(c)(5). Baylor S&W Institute for Rehab-Ft Worth Part V, Section B, Line 6a: Baylor Scott & White All Saints Medical Center-Fort Worth and Baylor Scott & White Surgical Hospital-Fort WorthBaylor S&W Institute for Rehab-Ft Worth:Part V, Section B, Line 9: The hospital adopted its most recent Implementation Strategy before November 15, 2022, the 15th day of the fifth month after the 2021 tax year as described in IRS Regulation Section 1.501(r)-3(c)(5). Baylor S&W Inst for Rehab-Dallas Part V, Section B, Line 11: The hospital is committed to serving the community by adhering to its charitable mission, using its skills and capabilities, and remaining a strong organization which continues to provide a wide range of important health care services and community benefits. The hospital has teamed up with other hospital facilities in the community to complete a joint community health needs assessment and develop a joint implementation strategy to address the health needs of the community while meeting certain federal and state requirements. These hospitals will address all significant community health needs (except the need(s) listed below) based on the anticipated impact to the community, hospital resources available, and the expertise of each respective hospital facility. Specific actions can be found in the joint implementation strategy that is made widely available on the hospital's website at www.BSWHealth.com/CommunityNeeds. The following identified needs will not be addressed in the joint community benefit implementation plan: Food Insecurity/Access to Healthy Foods and Infant Mortality Rate.There are multiple community and state agencies whose expertise and infrastructure are better suited for meeting the needs not addressed in the Community Health Implementation Strategies. Therefore, BSWH leadership has opted to focus its resources on the listed priorities for the betterment of the community. Baylor S&W Inst for Rehab-Frisco Part V, Section B, Line 11: The hospital is committed to serving the community by adhering to its charitable mission, using its skills and capabilities, and remaining a strong organization which continues to provide a wide range of important health care services and community benefits. The hospital has teamed up with other hospital facilities in the community to complete a joint community health needs assessment and develop a joint implementation strategy to address the health needs of the community while meeting certain federal and state requirements. These hospitals will address all significant community health needs (except the need(s) listed below) based on the anticipated impact to the community, hospital resources available, and the expertise of each respective hospital facility. Specific actions can be found in the joint implementation strategy that is made widely available on the hospital's website at www.BSWHealth.com/CommunityNeeds.The following identified needs have not been addressed in the joint community benefit implementation plan: Mentally Unhealthy Days/Social Isolation/Depression and Diabetes/Obesity.There are multiple community and state agencies whose expertise and infrastructure are better suited for meeting the needs not addressed in the Community Health Implementation Strategies. Therefore, BSWH leadership has opted to focus its resources on the listed priorities for the betterment of the community. Baylor S&W Institute for Rehab-Lakeway Part V, Section B, Line 11: The hospital is committed to serving the community by adhering to its charitable mission, using its skills and capabilities, and remaining a strong organization which continues to provide a wide range of important health care services and community benefits. The hospital has teamed up with other hospital facilities and/or other health care organizations in the community to complete a joint community health needs assessment and develop a joint implementation strategy to address the health needs of the community while meeting certain federal and state requirements. These organizations will address all significant community health needs (except the need(s) listed below) based on the anticipated impact to the community, hospital resources available, and the expertise of each respective hospital facility. Specific actions can be found in the joint implementation strategy that is made widely available on the hospital's website at www.BSWHealth.com/CommunityNeeds.The following identified needs have not been addressed in the joint community benefit implementation plan: Adult Obesity and Digital Divide.There are multiple community and state agencies whose expertise and infrastructure are better suited for meeting the needs not addressed in the Community Health Implementation Strategies. Therefore, BSWH leadership has opted to focus its resources on the listed priorities for the betterment of the community. Baylor S&W Institute for Rehab-Ft Worth Part V, Section B, Line 11: The hospital is committed to serving the community by adhering to its charitable mission, using its skills and capabilities, and remaining a strong organization which continues to provide a wide range of important health care services and community benefits. The hospital has teamed up with other hospital facilities in the community to complete a joint community health needs assessment and develop a joint implementation strategy to address the health needs of the community while meeting certain federal and state requirements. These hospitals will address all significant community health needs (except the need(s) listed below) based on the anticipated impact to the community, hospital resources available, and the expertise of each respective hospital facility. Specific actions can be found in the joint implementation strategy that is made widely available on the hospital's website at www.BSWHealth.com/CommunityNeeds. Baylor S&W Inst for Rehab-Dallas Part V, Section B, Line 16j: Measures to publicize the policy within the community served by the hospital facility, include but are not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital may receive help from a financial counselor. These services are also offered through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Baylor S&W Inst for Rehab-Frisco Part V, Section B, Line 16j: Measures to publicize the policy within the community served by the hospital facility, include but are not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital may receive help from a financial counselor. These services are also offered through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Baylor S&W Institute for Rehab-Lakeway Part V, Section B, Line 16j: Measures to publicize the policy within the community served by the hospital facility, include but are not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital may receive help from a financial counselor. These services are also offered through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Baylor S&W Institute for Rehab-Ft Worth Part V, Section B, Line 16j: Measures to publicize the policy within the community served by the hospital facility, include but are not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital may receive help from a financial counselor. These services are also offered through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Baylor S&W Inst for Rehab-Dallas Part V, Section B, Line 20e: A copy of the Plain Language Summary is included with every billing statement. Baylor S&W Inst for Rehab-Frisco Part V, Section B, Line 20e: A copy of the Plain Language Summary is included with every billing statement. Baylor S&W Institute for Rehab-Lakeway Part V, Section B, Line 20e: A copy of the Plain Language Summary is included with every billing statement. Baylor S&W Institute for Rehab-Ft Worth Part V, Section B, Line 20e: A copy of the Plain Language Summary is included with every billing statement. 127 1 - BIR - Home Health 1241 Cross Timbers Rd Flower Mound TX 75028 Home Health 2 - BIR - Frisco (Day Neuro) 2990 Legacy Dr Frisco TX 75034 Outpatient Rehab Clinic 3 - BIR - Dallas OP Day Neuro 909 N Washington Ave Dallas TX 75246 Outpatient Rehab Clinic 4 - BIR - Fort Worth Day Neuro Hub 6601 Harris Pkwy Fort Worth TX 76132 Outpatient Rehab Clinic 5 - BIR - Plano Alliance 4825 Alliance Blvd Ste 200 Plano TX 75093 Outpatient Rehab Clinic 6 - BIR - Frisco Star 3800 Gaylord Pkwy Ste 130 Frisco TX 75034 Outpatient Rehab Clinic 7 - BIR - Las Colinas Day Neuro 7701 Las Colinas Ridge Ste 110 Irving TX 75063 Outpatient Rehab Clinic 8 - BIR - Grapevine Lancaster 1643 Lancaster Dr Ste 100 Grapevine TX 76051 Outpatient Rehab Clinic 9 - BIR - McKinney Lake Forest 5236 W University Dr Ste 3500 McKinney TX 75071 Outpatient Rehab Clinic 10 - BIR - Dallas- N Washington Ave 411 N Washington Ave Ste 3900 Dallas TX 75246 Outpatient Rehab Clinic 11 - BIR - Dallas OP Medical Staff 411 N Washington Ave Ste 3900 Dallas TX 75246 Outpatient Rehab Clinic 12 - BIR - Round Rock University 300A University Blvd Round Rock TX 78665 Outpatient Rehab Clinic 13 - BIR - Lakeway Day Neuro Hub 2000 Medical Dr Lakeway TX 78734 Outpatient Rehab Clinic 14 - BIR - Irving MacArthur 2001 N MacArthur Blvd Ste 550 Irving TX 75061 Outpatient Rehab Clinic 15 - BIR -McKinney Lake Forest Orthopedic 5220 W University Dr Ste 310 McKinney TX 75071 Outpatient Rehab Clinic 16 - BIR - Frisco Main St 5858 W Main St Ste 160 Frisco TX 75034 Outpatient Rehab Clinic 17 - BIR - Mesquite Republic 1650 Republic Pkwy Ste 103 Mesquite TX 75150 Outpatient Rehab Clinic 18 - BIR - Waxahachie 2460 N I-35E Ste 260 Waxahachie TX 75165 Outpatient Rehab Clinic 19 - BIR - Allen 997 Raintree Cir Ste 170/180 Allen TX 75013 Outpatient Rehab Clinic 20 - BIR - North Garland 7217 Telecom Pkwy Ste 200 Garland TX 75044 Outpatient Rehab Clinic 21 - BIR - Midlothian 1441 S Midlothian Pkwy Ste 170 Midlothian TX 76065 Outpatient Rehab Clinic 22 - BIR - Georgetown Northwest 5353 Williams Drive Ste 100 Georgetown TX 78633 Outpatient Rehab Clinic 23 - BIR - Outpatient at Home 411 N Washington Ave Ste 5100 Dallas TX 75246 Outpatient Rehab Clinic 24 - BIR - Cedar Park East 910 E Whitestone Blvd Cedar Park TX 78613 Outpatient Rehab Clinic 25 - BIR - Lakeway 200 Medical Pkwy Ste 260 Lakeway TX 78738 Outpatient Rehab Clinic 26 - BIR - Dallas Carroll 1015 N Carroll Ave Ste 100 Dallas TX 75204 Outpatient Rehab Clinic 27 - BIR - Main (OP Hub) 909 N Washington Ave Dallas TX 75246 Outpatient Rehab Clinic 28 - BIR - William Cannon 2501 W William Cannon Bldg 1 Ste 102 Austin TX 78745 Outpatient Rehab Clinic 29 - BIR - Murphy 511 FM 544 Ste 208 Murphy TX 75094 Outpatient Rehab Clinic 30 - BIR - North Dallas Coit 510 N Coit Rd Ste 2035 Richardson TX 75080 Outpatient Rehab Clinic 31 - BIR - Terrell 512 American Way Ste E-4E-5E-6 Terrell TX 75160 Outpatient Rehab Clinic 32 - BIR - Mesquite Belt Line 1313 N Belt Line Rd Ste 102 Mesquite TX 75149 Outpatient Rehab Clinic 33 - BIR - Dallas Central 11617 N Central Expwy Ste 140 Dallas TX 75243 Outpatient Rehab Clinic 34 - BIR - Irving Kinwest 1215 Kinwest Pkwy Ste 110 Irving TX 75063 Outpatient Rehab Clinic 35 - BIR - Royse City 594 W Interstate 30 Royse City TX 75189 Outpatient Rehab Clinic 36 - BIR - Dallas OP SCI Program 909 N Washington Ave Dallas TX 75246 Outpatient Rehab Clinic 37 - BIR - Rowlett 8120 Lakeview Pkwy Ste 400 Rowlett TX 75088 Outpatient Rehab Clinic 38 - BIR - McKinney Eldorado 2960 Eldorado Pkwy Ste 75 McKinney TX 75070 Outpatient Rehab Clinic 39 - BIR - Ft Worth Carter Rehab 1350 All Saints Ave Fort Worth TX 76104 Outpatient Rehab Clinic 40 - BIR - Dallas Camp Wisdom 3107 W Camp Wisdom Rd Ste 131 Dallas TX 75237 Outpatient Rehab Clinic 41 - BIR - Frisco Coit 5375 Coit Rd Ste 110 Frisco TX 75035 Outpatient Rehab Clinic 42 - BIR - Waxahachie Chenault 1434 W US Highway 287 Bypass Ste 200 Waxahachie TX 75165 Outpatient Rehab Clinic 43 - BIR - Ft Worth Sports Therapy 5900 Altamesa Blvd Ste 102 Fort Worth TX 76132 Outpatient Rehab Clinic 44 - BIR - McKinney Redbud 1705 W University Dr Ste 119 McKinney TX 75069 Outpatient Rehab Clinic 45 - BIR - Dallas Sammons Cancer Center 3410 Worth St Ste 800 Dallas TX 75246 Outpatient Rehab Clinic 46 - BIR - Wylie 600 Cooper Dr Ste 130 Wylie TX 75098 Outpatient Rehab Clinic 47 - BIR - Garland Firewheel 4430 Lavon Dr Ste 340 Garland TX 75040 Outpatient Rehab Clinic 48 - BIR - Ft Worth Bryant Irvin 4901 Bryant Irvin Rd North Ste 200 Fort Worth TX 76107 Outpatient Rehab Clinic 49 - BIR - Red Oak 309 E Ovilla Rd Ste 1100 Red Oak TX 75154 Outpatient Rehab Clinic 50 - BIR - Rockwall 810 E Ralph Hall Pkwy Ste 170 Rockwall TX 75032 Outpatient Rehab Clinic 51 - BIR - Keller 460 Keller Pkwy Ste 460A Keller TX 76248 Outpatient Rehab Clinic 52 - BIR - Round Rock (Sundance Pkwy) 116 Sundance Pkwy Ste 400 Round Rock TX 78681 Outpatient Rehab Clinic 53 - BIR - Garland Shiloh 333 N Shiloh Rd Ste 108 Garland TX 75042 Outpatient Rehab Clinic 54 - BIR - Onion Creek 11215 S Interstate 35 Ste 102 Austin TX 78747 Outpatient Rehab Clinic 55 - BIR - Richardson Collins 1740 N Collins Blvd Ste 100 Richardson TX 75080 Outpatient Rehab Clinic 56 - BIR - Dallas Preston Hollow 4347 W NW Hwy Ste 180 Dallas TX 75220 Outpatient Rehab Clinic 57 - BIR - Little Elm 2700 E Eldorado Pkwy Ste 409 Little Elm TX 75068 Outpatient Rehab Clinic 58 - BIR - Plano W Parker 4701 W Parker Rd Ste 625 Plano TX 75093 Outpatient Rehab Clinic 59 - BIR - Anna 601 S Ferguson Pkwy Ste 100 Anna TX 75409 Outpatient Rehab Clinic 60 - BIR - Dallas Kessler Park 222 E Colorado Blvd Dallas TX 75203 Outpatient Rehab Clinic 61 - BIR - Addison 4135 Beltline Rd Ste 122 Addison TX 75001 Outpatient Rehab Clinic 62 - BIR - Hutto 567 Chris Kelley Blvd Ste 104 Hutto TX 78634 Outpatient Rehab Clinic 63 - BIR - Southlake 3101 E State Hwy 114 Ste B Southlake TX 76092 Outpatient Rehab Clinic 64 - BIR - Bedford 1940 Bedford Rd Bedford TX 76021 Outpatient Rehab Clinic 65 - BIR - Plano 15th 3700 W 15th St Bldg B Ste 200 Plano TX 75075 Outpatient Rehab Clinic 66 - BIR - South Lamar 3901 S Lamar Blvd Ste 140 Austin TX 78704 Outpatient Rehab Clinic 67 - BIR - Burleson 12500 South Fwy Ste 201 Burleson TX 76028 Outpatient Rehab Clinic 68 - BIR - Pflugerville 16051 Dessau Road Ste A Pflugerville TX 78660 Outpatient Rehab Clinic 69 - BIR - Weatherford 2035 Fort Worth Hwy Ste 300 Weatherford TX 76086 Outpatient Rehab Clinic 70 - BIR - Mansfield 1748 E Broad St Ste 120 Mansfield TX 76063 Outpatient Rehab Clinic 71 - BIR - Lake Worth 5932 Quebec St Ste 180 Lake Worth TX 76135 Outpatient Rehab Clinic 72 - BIR - Argyle 250 N Highway 377 Ste 300 Argyle TX 76226 Outpatient Rehab Clinic 73 - BIR - Flower Mound 1901 Long Prairie Rd Ste 130 Flower Mound TX 75022 Outpatient Rehab Clinic 74 - BIR - Real Life Rehab 909 N Washington Ave RLR Dallas TX 75246 Outpatient Rehab Clinic 75 - BIR - Buda 640 Old San Antonio Rd Ste 2 Buda TX 78610 Outpatient Rehab Clinic 76 - BIR - Far West 6818 Austin Center Blvd Ste 111 Austin TX 78731 Outpatient Rehab Clinic 77 - BIR - Angus Road 11623 Angus Rd Ste 18 Austin TX 78759 Outpatient Rehab Clinic 78 - BIR - Avery Ranch 15004 Avery Ranch Blvd Bldg C Ste 101 Austin TX 78717 Outpatient Rehab Clinic 79 - BIR - Granbury 805 Hill Blvd Ste 109 Granbury TX 76048 Outpatient Rehab Clinic 80 - BIR - Prosper 1450 N Preston Rd Ste 40 Prosper TX 75078 Outpatient Rehab Clinic 81 - BIR - Ft Worth Fossil Creek 5411 Basswood Blvd Ste 225 Fort Worth TX 76137 Outpatient Rehab Clinic 82 - BIR - Arlington 5001 S Cooper St Ste 109 Arlington TX 76017 Outpatient Rehab Clinic 83 - BIR - Northcross 7756 Northcross Dr Ste 101 Austin TX 78757 Outpatient Rehab Clinic 84 - BIR - South Grand Prairie 2950 W Camp Wisdom Rd Ste 200 Grand Prairie TX 75052 Outpatient Rehab Clinic 85 - BIR - Dallas Lake Highlands 6243 Retail Rd Ste 600 Dallas TX 75231 Outpatient Rehab Clinic 86 - BIR - Aledo 250 Bailey Ranch Rd Ste 200 Aledo TX 76008 Outpatient Rehab Clinic 87 - BIR - Kyle Parkway 5695 Kyle Pkwy Ste 140 Kyle TX 78640 Outpatient Rehab Clinic 88 - BIR - Cedar Park West 500 W Whitestone Blvd Ste 101 Cedar Park TX 78613 Outpatient Rehab Clinic 89 - BIR - Leander 1007 S US Highway 183 Leander TX 78641 Outpatient Rehab Clinic 90 - BIR - North Richland Hills 6501 Precinct Line Rd Ste 200 North Richland Hills TX 76182 Outpatient Rehab Clinic 91 - BIR - Frisco Stonebrook 8204 Stonebrook Pkwy Frisco TX 75034 Outpatient Rehab Clinic 92 - BIR - The Colony 4897 Hwy 121 Ste 140 The Colony TX 75056 Outpatient Rehab Clinic 93 - BIR - West 38th St 711 W 38th St Ste B3/B4 Austin TX 78705 Outpatient Rehab Clinic 94 - BIR - Steiner Ranch 5145 N FM 620 Ste L110 Austin TX 78732 Outpatient Rehab Clinic 95 - BIR - Roanoke 105 Country View Dr Ste 200 Roanoke TX 76262 Outpatient Rehab Clinic 96 - BIR - Manor 12400 Gregg Manor Rd Ste 101 Manor TX 78653 Outpatient Rehab Clinic 97 - BIR - Coppell 651 N Denton Tap Rd Ste 120 Coppell TX 75019 Outpatient Rehab Clinic 98 - BIR - North Austin 2200 Park Bend Dr Bldg 1 Ste 202 Austin TX 78757 Outpatient Rehab Clinic 99 - BIR - Denton Mayhill 2817 S Mayhill Rd Ste 120 Denton TX 76208 Outpatient Rehab Clinic 100 - BIR - Mueller 1801 E 51st St Ste 300 Austin TX 78723 Outpatient Rehab Clinic 101 - BIR - Farmers Branch 13000 Josey Ln Ste 150 Farmers Branch TX 75234 Outpatient Rehab Clinic 102 - BIR - Carrollton Frankford 1933 E Frankford Rd Ste 110 Carrollton TX 75007 Outpatient Rehab Clinic 103 - BIR - Plano Willow Bend 6101 W Plano Pkwy Ste 250C Plano TX 75093 Outpatient Rehab Clinic 104 - BIR - Ft Worth Camp Bowie 3621 Camp Bowie Blvd Fort Worth TX 76107 Outpatient Rehab Clinic 105 - BIR - Aubrey 26795 US Hwy 380 Ste 100A Aubrey TX 76227 Outpatient Rehab Clinic 106 - BIR - Carrollton Sandy Lake 1850 Legends Trail Carrollton TX 75006 Outpatient Rehab Clinic 107 - BIR - Southwest 290 9521 US Hwy 290 Ste 102B Austin TX 78736 Outpatient Rehab Clinic 108 - BIR - North Arlington 4120 State Hwy 360 Ste 105 Fort Worth TX 76155 Outpatient Rehab Clinic 109 - BIR - Fort Worth Eastchase 8651 John T White Rd Ste 121 Fort Worth TX 76120 Outpatient Rehab Clinic 110 - BIR - Georgetown Southeast 1225 S Interstate 35 Bldg H Ste 120 Georgetown TX 78626 Outpatient Rehab Clinic 111 - BIR - Bee Caves 2765 Bee Caves Rd Ste 209 Austin TX 78746 Outpatient Rehab Clinic 112 - BIR - Carrollton Hebron 4070 State Hwy 121 Ste 300 Carrollton TX 75010 Outpatient Rehab Clinic 113 - BIR - SportsHealth NTX 411 N Washington Ave Ste 3900 Dallas TX 75246 Outpatient Rehab Clinic 114 - BIR - Tech Ridge 12901 North IH-35 Ste 1330 Austin TX 78753 Outpatient Rehab Clinic 115 - BIR - Liberty Hill 14125 W State Hwy 29 Ste B204 Liberty Hill TX 78642 Outpatient Rehab Clinic 116 - BIR - Georgetown (Williams Dr) 4112 Williams Dr Ste 103 Georgetown TX 78628 Outpatient Rehab Clinic 117 - BIR - Kyle Hays 135 Bunton Creek Rd Ste 303 Kyle TX 78640 Outpatient Rehab Clinic 118 - BIR - Red River 3200 Red River St Ste 101 Austin TX 78705 Outpatient Rehab Clinic 119 - BIR - San Marcos 2041 S Interstate 35 Ste 205 San Marcos TX 78666 Outpatient Rehab Clinic 120 - BIR - Arlington Parks 800 W Arbrook Blvd Ste 200 Arlington TX 76015 Outpatient Rehab Clinic 121 - BIR - Dallas Hand North 12230 Coit Rd Ste 100 Dallas TX 75251 Outpatient Rehab Clinic 122 - BIR - Richardson Spectrum 3413 Spectrum Blvd Ste 200 Richardson TX 75082 Outpatient Rehab Clinic 123 - BIR - Ft Worth Southside 928 Travis Ave Ste 102 Fort Worth TX 76104 Outpatient Rehab Clinic 124 - BIR - Alliance 4901 Golden Triangle Blvd Ste 131 Fort Worth TX 76244 Outpatient Rehab Clinic 125 - BIR - Sports Health CTX 200 Medical Pkwy Ste 260 Lakeway TX 78738 Outpatient Rehab Clinic 126 - BIR - Ft Worth Lockheed 1 Lockheed Blvd Fort Worth TX 76108 Outpatient Rehab Clinic 127 - BIR - Outpatient at Home - CTX 3200 Red River St Ste 101 Austin TX 78705 Outpatient Rehab Clinic Part I, Line 3c: and Line 3b: In addition to providing free care to financially indigent patients at 200% of the federal poverty guidelines ("FPG"), the organization provides discounted care to the medically indigent which is based on both the FPG (up to 500%) and the percentage of the patient's total bills from all Baylor Scott & White Health related providers in relation to the patient's annual income. Part I, Line 7: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7d. For amounts reported on lines 7e - 7k, actual expenses for each community benefit activity are tracked and reported using both community benefit software and/or the organization's cost accounting system. Part I, Ln 7 Col(f): The amount of bad debt expense included on Form 990, Part IX, line 25, but removed for Schedule H, Part I, Line 7, Column (f) totaled $0. Part III, Line 4: As stated in the combined audited financial statements, "The System maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The System assesses the reasonableness of the allowance account based on the historical write-offs, cash collections, the aging of the accounts and other economic factors. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowance associated with its receivables." Bad debt does not include amounts for patients who are known to qualify under the organization's charity care policy. The amount of bad debt attributable to patient's accounts is net of contractual allowance, payments received and recoveries of bad debt previously written off. The Organization has entered zero on Schedule H, Part III, Line 3; however, based on prior experience and certain demographics and other information obtained during admission, the organization believes a portion of the bad debt expenses (estimated to range from 1-5%) would be attributable to patients that would otherwise qualify for charity care. Despite all of the effort and ways the organization educates patients about qualifying for its charity care program as demonstrated in Part VI, question 3 below, many uninsured patients either refuse or fail to complete a charity care application or provide sufficient information at the time of admission, during their stay or after being discharged to qualify for assistance under the organization's charity care policy. Part III, Line 8: The amount reported on Part III, Section B, line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost report based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to providing quality care to these patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded as allowable cost in the cost reports. Using the same methodology to calculate the unreimbursed cost of providing charity care and Medicaid (using applicable Schedule H worksheets) would result in a shortfall of $3,305,663.The organization believes that all of the shortfall should be considered as a community benefit for the following reasons. First, the IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including for example Medicare, is an indication that the hospital operates for the promotion of health in the community. Second, the organization provides care to Medicare patients regardless of this shortfall, i.e., loss, and thereby relieves the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. Medicare does not provide sufficient reimbursement to cover the entire cost of providing care to these patients causing the organization to use other surplus funds to cover the shortfall. It is expected that reimbursement under the Medicare program will continue to decline and therefore may further limit access to care due to the anticipated reduction of participating Medicare providers in the community. As a result, the care for these patients will likely increase at, and rest on the shoulders of, nonprofit hospitals or county hospital districts. Third, many of the Medicare participants have low fixed incomes and therefore would qualify for charity care or other means tested government programs absent being enrolled in the Medicare program. Fourth, Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas Health and Safety Code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. Part III, Line 9b: The organization's patient billing and collection policy prohibits any collection efforts for the portion of the account balance that qualifies for financial assistance under the organization's financial assistance policy. For any remaining balances due, the same policy contains the actions that may be taken in the event of nonpayment, which are applied equally to all patient types. The policy is made widely available to the public on the organization's website https://www.bswhealth.com/financialassistance. Part VI, Line 2: During the fiscal year ending June 30, 2022, the Organization conducted a Community Health Needs Assessment (CHNA) to assess the health care needs of the community for each of its licensed hospital facilities and developed an implementation strategy to address the needs identified in the CHNAs. The CHNAs were conducted in accordance with state and federal guidelines including Internal Revenue Code Section 501(r) and the Texas Health and Safety Code Section 311. These CHNAs and implementation strategies have been made widely available to the public and are located on the Organization's website at the following address: www.BSWHealth.com/CommunityNeeds. Part VI, Line 3: The organization is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Patients who may qualify for financial assistance through the organization's charity care program or other federal, state and local government programs are informed and educated about their eligibility in several ways including, but not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policy is posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital will automatically receive help from a financial counselor. These services are provided in writing and through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Part VI, Line 4: The organization operates multiple hospital facilities across multiple defined communities that primarily serve the geographical area that includes certain zip codes spanning Collin, Dallas, Denton, Ellis, Hays, Henderson, Hood, Hunt, Johnson, Kaufman, Milam, Navarro, Parker, Rockwall, Tarrant, Travis, Williamson and Van Zandt Counties. Additional information regarding the community can be found below, and in each of the hospital's community health needs assessment and implementation strategy located on the organization's website at www.BSWHealth.com/CommunityNeeds.Dallas Metropolitan Health Community includes certain zip codes spanning Collin, Dallas, Ellis, Henderson, Hunt, Kaufman, Navarro, Rockwall, Tarrant and Van Zandt Counties, with a population of approximately 6,555,451. The average median household income for the ZIP codes within this community is $75,314. There were 64 ZIP Codes with median household incomes less than $52,400 -twice the 2020 Federal Poverty Limit for a family of four. A majority of the population (53.4%) is insured through employer sponsored health coverage. The remainder of the population was fairly equally divided between Medicaid, Medicare and private market (the purchasers of coverage directly or through the health insurance marketplace). The community includes 55 Health Professional Shortage Areas and 16 Medically Underserved Areas as designated by the U.S. Department of Health and Human Services. Frisco Health Community includes certain zip codes spanning Collin and Denton Counties, with a population of approximately 1,934,233. The average median household income for the ZIP codes within this community is $100,537. There were 2 ZIP codes with median household incomes less than $52,400, twice the 2020 Federal Poverty Limit for a family of four. A majority of the population (67%) is insured through employer sponsored health coverage. The remainder of the population is fairly equally divided between Medicaid, Medicare and private market (the purchasers of coverage directly or through the health insurance marketplace). The community includes 5 Health Professional Shortage Areas and 1 Medically Underserved Area as designated by the U.S. Department of Health and Human Services.West Fort Worth Health Community includes certain zip codes spanning Hood, Johnson, Parker and Tarrant Counties with a population of approximately 2,438,658. The average median household income for the ZIP codes within this community is $73,530. There were 19 ZIP codes with median household incomes less than $52,400 -twice the 2020 federal poverty limit for a family of four. A majority of the population (53%) was insured through employer sponsored health coverage. The remainder of the population was fairly equally divided between Medicaid, Medicare and private market (the purchasers of coverage directly or through the health insurance marketplace).The community includes 17 Health Professional Shortage Areas and 3 Medically Underserved Areas as designated by the U.S. Department of Health and Human Services.Greater Austin Region Health Community includes certain zip codes spanning Hayes, Milam, Travis, and Williamson counties with a population of approximately 10,737,258. The average median household income for the ZIP codes within this community is $86,818. A majority of the population (60%) was insured through employer sponsored health coverage, closely followed by those without health insurance (12.5%). The remainder of the population was fairly equally divided between Medicaid, Medicare and private market (the purchasers of coverage directly or through the health insurance marketplace). The community includes12 Health Professional Shortage Areas and 3 Medically Underserved Areas as designated by the U.S. Department of Health and Human Services. Part VI, Line 5: The organization operates, through a partnership between with Baylor Scott & White Health and Select Medical Corporation, four faith-based specialty hospitals including 127 outpatient rehab clinics which provides exemplary comprehensive physical medicine and rehabilitation services to the residents in Texas including the cities of Austin, Dallas, Fort Worth and the surrounding communities. These hospitals include Baylor Scott & White Institute for Rehabilitation - Dallas, Baylor Scott & White Institute for Rehabilitation - Frisco, Baylor Scott & White Institute for Rehabilitation - Fort Worth, and Baylor Scott & White Institute for Rehabilitation - Lakeway.With the oversight of an independent volunteer community board and Baylor Scott & White Holdings, the organization's ultimate parent, the organization's hospital facilities and/or other health care facilities have promoted health and benefited the community by providing exemplary health care, medical education, research and other community services. The organization's governing body is comprised of a majority of volunteer community representatives that provide leadership and governance for the organization. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for the organization. The members are well respected residents and/or own businesses in the organization's primary or secondary service area and understand the needs of the community.As a nonprofit organization surplus funds are continuously invested back to the community and are utilized to maintain access to limited patient care services or expand access points of care to patients throughout the community. These efforts are generally targeted to meet the community health needs identified in the community health needs assessment conducted by each of the hospital facilities. More information of these efforts can be found in the written implementation strategies that have been made widely available to the public and are located on the organization's website at the following address: www.BSWHealth.com/CommunityNeeds. Below are summaries of a few of the hospital's key patient care services or community benefit programs designed to promote the health of the community. The organization provides financial assistance in the form of charity care to patients who are indigent and satisfy certain eligibility requirements. Additionally, the organization is committed to treating patients who are eligible for means tested government programs such as Medicaid and other government sponsored programs including Medicare, which is provided regardless of the reimbursement shortfall, and thereby relieves the state and federal government of the burden of paying the full cost of care for these patients. Often, patients are unaware of the federal, state and local programs open to them for financial assistance, or they are unable to access them due to the cumbersome enrollment process required to receive these benefits. The organization offers assistance in enrollment to these government programs or extends financial assistance in the form of charity care through the Organization's Financial Assistance Policy which can be located on the organization's website at www.bswhealth.com/financialassistance.From hospital to home, the organization provides a comprehensive range of rehabilitation services to help on your road to recovery. Below are key program areas that provide a continuum of care to the community. Acute Care Therapy: Acute care therapy is rehabilitation therapy that occurs within a general hospital setting. Our partnership with Baylor Scott & White Health allows us to treat patients who have been admitted to the hospital, including those who are critically ill. We provide physical therapy, occupational therapy, speech therapy and recreational therapy within Baylor Scott & White Medical Centers across North Texas.Inpatient Rehabilitation: Life-changing injuries from a car accident, fall or some other type of physical or neurological condition may have left you wondering what's next in terms of function, independence and overall quality of life. For more than forty years, our reputation for quality care and patient outcomes have helped us grow into one of the largest rehabilitation networks in Texas. Our flagship hospital in Dallas has received repeat recognition as one of the best rehabilitation hospitals in the country by U.S. News & World Report. Our continuum of care encompasses your entire recovery journey and includes specialists and clinical treatment teams who hold advanced certifications in the rehabilitation of traumatic brain injuries, spinal cord injury, stroke, amputation and orthopedic conditions. Our specialized rehabilitation teams create individualized treatment plans with one goal in mind: to maximize your recovery.Neuro Transitional Rehabilitation: Transitional rehabilitation is dedicated for individuals with traumatic brain injury (TBI), spinal cord injury, stroke or other neurological diseases, and who are also at high risk for unsafe discharge. Our Neuro Transitional Center provides a unique environment designed to feel like a home, yet gives patients with physical, behavioral and cognitive impairments access to comprehensive therapy in multiple settings. Specialized therapists help transitional patients restore independent living skills with the goal of safely functioning in their home and community. Our new Neuro Transitional Center is another way we're changing rehabilitation for the better.Day Neuro Rehabilitation Program: This comprehensive day rehabilitation program is designed for persons with acquired brain injury, such as a traumatic brain injury, stroke, brain tumor or other neurological conditions. The program offers specialized therapy activities to promote recovery of cognitive skills, communication, physical and social problems. A team of medical professionals including speech-language pathologists, occupational therapists, physical therapists and neuropsychologists work together with physicians to provide individualized, outcome-oriented intervention. The overall goal of the Day Neuro Program is to promote independence and improve quality of life within the community.Home Health: Baylor Scott & White Institute for Rehabilitation provides professional medical care in the comfort of your own home. Whether you are recovering from an illness or an injury, our goal is to help you gain back as much independence as possible to improve your quality of life. Our home health experts specialize in treating not just the patient, but the person. Home health services are available throughout most of North Texas and even available in more rural areas outside of Dallas and Fort Worth.Outpatient Therapy: As part of one of the largest rehabilitation systems in Texas, our Outpatient Therapy division includes more than 100 therapy and specialty clinics throughout North and Central Texas. We are the premier provider of physical therapy, occupational therapy and speech therapy. Our highly qualified clinical team provides preventative and rehabilitative services that maximize function and promote your overall well-being. Our goal is to get you back to better faster after an injury or illness. Now, with Direct Access physical therapy, we're able to streamline most cases and get you on the road to recovery as quickly as possible.Support Groups: Our commitment to you goes beyond the walls of our hospitals and clinics. We provide former and current patients the support they need long after they are discharged. Many of these groups are organized by our dedicated staff and former patients who are now mentors.Medical Research and Education: We focus our research on patients across our entire rehabilitation network. With a diverse patient group from acute care therapy, inpatient rehabilitation, outpatient therapy and our home health division, we are able to create unique research opportunities that include studying infant feeding in the neonatal intensive care unit, examining sleep patterns in patients with a traumatic brain injury, using robotics during inpatient spinal cord rehabilitation and supporting a healthy lifestyle for outpatients living in the community. Our researchers are always hard at work trying to improve patient outcomes. We currently have several on-going studies, including major nation-wide collaborations with other health care institutes. Part VI, Line 6: The organization is affiliated with Baylor Scott & White Health (BSWH or the System), a faith based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the communities of North and Central Texas. BSWH is the largest not-for-profit health care system in the State of Texas and one of the largest in the United States as measured by total operating revenue of $15.5 Billion and total assets of $20.4 Billion based on the fiscal year ended June 30, 2024. Today, BSWH has over 1,300 patient access points including 52 hospitals, 632 specialty care clinics, 260 outpatient clinics, 164 primary care clinics, 29 pharmacies, 30 ambulatory surgery centers, and more than 7,200 active physicians. The System includes a robust spectrum of owned, operated, ventured and other affiliated entities including philanthropic foundations, a research institute, physician clinics and networks, acute care hospitals, short-stay hospitals, specialty hospitals, ambulatory surgery centers, free standing emergency medical centers, free standing imaging centers, free standing urgent care centers, retail pharmacies, an accountable care organization, a health plan and other health care providers all which fall under the common control of Baylor Scott White Holdings. Under the guidance of an independent community board, the System follows one single mission, vision and values focusing on quality patient centered care while meeting the demands of health care reform, the changing needs of patients and extraordinary recent advances in clinical care. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation's exemplary health care organizations.Community benefits are provided through the provision of financial assistance, governmental sponsored programs (such as Medicaid and Medicare), medical research, medical education, community health improvement services, donations to other nonprofit health care providers, and many other community service activities. During the year, the affiliated nonprofit hospitals reported community benefits (as reported to the Texas Department of State Health Services, and in accordance with the State of Texas Statutory methodology) of $1.3 Billion. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) of $493 Million during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $703 Million of unreimbursed cost of Medicare as a community benefit that is not counted in the IRS Form 990, Schedule H.As part of the System, certain affiliates make grants and/or contributions to other related nonprofit affiliates to help financially support and/or fund worthy community benefits activities. The System has also established a patient transfer system among the affiliated hospitals allowing patients needing a particular level of care to be transferred as needed to a related hospital that can provide that service in an efficient and effective manner. As part of the System, all hospitals and other affiliated health care providers are required to adhere to high standards for medical quality, patient safety and patient satisfaction. These standards are set forth by Baylor Scott White Holdings, the organization's parent, which helps ensure consistency across the System.BSWH is actively reimagining the healthcare experience by redesigning core business processes and integrating innovative solutions across all aspects of its operations. This includes the development of a comprehensive digital health platform, MyBSWHealth, the creation of new products and services, and the pursuit of operational efficiencies that enhance the quality of care. The system's approach goes beyond the application of technology - it's about fundamentally rethinking how care is delivered and how services are accessed, ensuring that every touchpoint of the healthcare journey is streamlined, personalized and more accessible for those who need it. 0 1 0 0 0 0 0 0 0 Steven Newton President/CEO 0 986141 0 1360468 0 1248428 0 602804 0 28678 0 4226519 0 1313512 Jennifer Mitzner CFO 0 1317603 0 1470630 0 41982 0 1176796 0 30123 0 4037134 0 0 Grant Teegarden Secretary 0 325397 0 195458 0 13474 0 51366 0 30072 0 615767 0 0 Amy Wilson MD Trustee 0 419682 0 132087 0 2231 0 16500 0 28689 0 599189 0 0 Paul Madeley MD Trustee 0 411066 0 0 0 100628 0 16500 0 25279 0 553473 0 37465 Part I, Line 4b Supplemental Nonqualified Retirement Plan: In order to recruit and retain key talent, BSW Holdings and certain tax exempt affiliates (BSWH) offers a supplemental non-qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BSWH's supplemental non-qualified retirement plan during the tax year: Grant Teegarden, Jennifer Mitzner, Paul Madeley, M.D. ($27,692), and Steven Newton ($122,533). Form 990, Schedule J, Part III Supplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members may have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable. Cash, Intercompany Payables and Receivables 2024-06-30 58473667 Book Value 751837454 Baylor University Medical Center 301 N Washington Avenue Dallas TX 75246 501(c)(3) 1 0 0 0 1 1 1 1 0 Part I, Line 2e: Explanation of Involvement: All of the Members of the Board of Directors of Baylor Institute for Rehabilitation at Gaston Episcopal Hospital currently serve (and will continue to serve) as Members of the Board of Directors of Baylor University Medical Center, the transferee organization. Form 990, Part VI, Section A, line 6 Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor Health Care System, a tax exempt, Texas nonprofit corporation, is the sole member. Form 990, Part VI, Section A, line 7a Election of members of governing body by members, stockholders, or other persons: Baylor Scott & White Holdings (BSW Holdings), a tax exempt, Texas nonprofit corporation, is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section A, line 7b Governing body decisions subject to approval: All rights and powers are reserved to the organization's ultimate parent, BSW Holdings, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by joint commission. For example, BSW Holdings' substantial reserved rights and powers include, without limitation, approval of the organization's certificate of formation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section B, line 11b Process used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Process used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements, employed physicians, persons who participate in the design, coordination, conduct, or reporting of research on behalf of BSWH, and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings Board of Trustees Audit and Compliance Committee, the BSW Holdings Board of Trustees Governance Committee (with respect to Baylor Scott & White Holdings Trustees), and/or the Baylor Scott & White Health Corporate Compliance Committee as the case may be will review all material disclosures submitted by these individuals to determine whether a conflicts of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual. Form 990, Part VI, Section C, line 19 Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's certificate of formation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BSW Holdings that are made available to the public by the posting of those documents through DAC Bond. The organization's other governing documents and conflicts of interest policy are not made available to the public and are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. Form 990, Part IX, line 11g Professional Fees: Program service expenses 6,975. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,975. Form 990, Part XI, line 9: ASC 810 Adjustment -12,498,118. Distribution to/from Tax Exempt Parent -9,515,000. Distribution to Tax Exempt Affiliate -58,473,667. Supplemental Information: IRC Section 6038 Statement: Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: In accordance with IRC Section 6038 and the constructive ownership rules of IRC Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, with respect to certain controlled foreign corporations (CFCs) including Baylor Scott & White Assurance SPC. These filing requirements are or will be satisfied through the filing of Form 5471 for this CFC by the U.S. taxpayer identified below who has the same filing requirement. Taxpayer Name: Baylor University Medical Center Taxpayer Address: 301 N. Washington Avenue, Dallas, TX 75246 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 75-1837454 IRS Service Center where U.S. tax return was or will be filed: E-filed All Saints Health Foundation 301 N Washington Avenue Dallas TX 75246 751947007 Fundraising TX 501(c)(3) Line 7 Baylor All Saints Medical Center 1 Baylor All Saints Medical Center 301 N Washington Avenue Dallas TX 75246 751008430 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Health Care System 301 N Washington Avenue Dallas TX 75246 751812652 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Health Care System Employee Benefit Trust 301 N Washington Avenue Dallas TX 75246 751848557 VEBA TX 501(c)(9) Baylor Health Care System 1 Baylor Health Care System Foundation 301 N Washington Avenue Dallas TX 75246 751606705 Fundraising TX 501(c)(3) Line 7 Baylor Health Care System 1 Baylor Medical Center at Carrollton 301 N Washington Avenue Dallas TX 75246 454510252 Former Hospital/Wind Down TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Irving 301 N Washington Avenue Dallas TX 75246 752586857 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Waxahachie 301 N Washington Avenue Dallas TX 75246 751844139 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Scott & White Medical Centers-Greater North Texas 301 N Washington Avenue Dallas TX 75246 751037591 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Grapevine 301 N Washington Avenue Dallas TX 75246 751777119 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Plano 301 N Washington Avenue Dallas TX 75246 820551704 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Research Institute 301 N Washington Avenue Dallas TX 75246 751921898 Research TX 501(c)(3) Line 4 Baylor Health Care System 1 Baylor Scott & White Health 301 N Washington Avenue Dallas TX 75246 463131350 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Scott & White Holdings 301 N Washington Avenue Dallas TX 75246 463130985 Parent TX 501(c)(3) Line 12b, II N/A 0 Baylor University Medical Center 301 N Washington Avenue Dallas TX 75246 751837454 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 HealthTexas Provider Network 301 N Washington Avenue Dallas TX 75246 752536818 Physician Services TX 501(c)(3) Line 3 Baylor Health Care System 1 Hillcrest Baptist Medical Center 301 N Washington Avenue Dallas TX 75246 741161944 Hospital TX 501(c)(3) Line 3 Scott & White Memorial Hospital 1 Hillcrest Family Health Center 301 N Washington Avenue Dallas TX 75246 742730350 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 301 N Washington Avenue Dallas TX 75246 742967081 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Irving Healthcare Foundation 301 N Washington Avenue Dallas TX 75246 751570933 Fundraising TX 501(c)(3) Line 7 Baylor Medical Center at Irving 1 Scott & White Clinic 301 N Washington Avenue Dallas TX 75246 742958277 Physician Services TX 501(c)(3) Line 10 Scott & White Healthcare 1 Scott & White Continuing Care Hospital 301 N Washington Avenue Dallas TX 75246 202850920 Long Term Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White EMS Inc 301 N Washington Avenue Dallas TX 75246 753242749 Emergency Transport TX 501(c)(3) Line 10 Scott & White Memorial Hospital 1 Scott & White Foundation-Brenham 301 N Washington Avenue Dallas TX 75246 742460815 Fundraising TX 501(c)(3) Line 7 Scott & White Hospital-Brenham 1 Scott and White Health Plan 301 N Washington Avenue Dallas TX 75246 742052197 HMO TX 501(c)(4) Baylor Scott & White Holdings 1 Scott & White Healthcare 301 N Washington Avenue Dallas TX 75246 264532547 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Scott & White Healthcare Foundation 301 N Washington Avenue Dallas TX 75246 273513154 Fundraising TX 501(c)(3) Line 7 Scott & White Healthcare 1 Scott & White Hospital-Brenham 301 N Washington Avenue Dallas TX 75246 742519752 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-College Station 301 N Washington Avenue Dallas TX 75246 274434451 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Marble Falls 301 N Washington Avenue Dallas TX 75246 464007700 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Round Rock 301 N Washington Avenue Dallas TX 75246 203749695 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Taylor 301 N Washington Avenue Dallas TX 75246 741595711 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Memorial Hospital 301 N Washington Avenue Dallas TX 75246 741166904 Hospital TX 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